TYPE LICENSE # FACILITY ADDRESS CITY STATE ZIP PHONE ADMINISTRATOR EFFECTIVE EXPIRATION BEDS COUNTY

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1 Acute Psychiatric Res Treatment CYPRESS CENTER (THE) 401 CYPRESS STREET MANCHESTER NH (603) JENNIFER CONLEY 2/1/2015 1/31/ Adult Day Care ADULT DAY CARE OF NASHUA Adult Day Care Adult Day Care CASTLE CENTER FOR ADULT GROUP DAY CARE CONNECTICUT VALLEY HM CARE DAY OUT PRGRM 460 AMHERST STREET SUITE 4 NASHUA NH (603) SHARON CONNELLY, 10/1/2014 9/30/ MARLBORO STREET KEENE NH (603) CATHERINE BRAUGHT, 9/1/2015 8/31/2016 CHESHIRE 958 JOHN STARK NEWPORT NH (603) DIANNE LEMAY, 7/1/2015 6/30/2016 SULLIVAN Adult Day Care EASTER SEAL SOCIETY NEW HAMPSHIRE INC 555 AUBU STREET MANCHESTER NH (603) LAURIE DUFF 4/1/2015 3/31/2016 Adult Day Care GATEWAYS ADULT DAY SERVICE PROGRAM 200 DERRY ROAD HUDSON NH (603) MARY BETH SMAHA 4/1/2015 3/31/2016 Adult Day Care HOMEMAKERS HEALTH SERVICES (THE) 215 ROCHESTER HILL ROAD ROCHESTER NH (800) LINDA HOWARD 5/1/2015 4/30/2016 Belknap Adult Day Care HUGGINS HOSPITAL - ADULT DAY CARE 240 SOUTH MAIN STREET WOLFEBORO NH (603) JENNIFER GOLINI, 10/1/2014 9/30/2015 CARROLL Adult Day Care KEARSARGE GOOD DAY RESPITE PROGRAM 82 KING HILL ROAD NEW LONDON NH (603) KULLI BLOOM 1/1/ /31/2015 Adult Day Care MAINTAINING INDEPENDENCE ADULT DAY SERVICES INC 11 KIMBALL DR, UNIT 110 Hooksett NH (603) KYLE WORTH 12/8/ /30/2015 Merrimack Adult Day Care MONADNOCK ADULT CARE CENTER 22 NORTH STREET JAFFREY NH (603) CHRISTINE SELMER, 10/1/2014 9/30/2015 CHESHIRE Adult Day Care SARAHCARE ADULT DAY SERVICES 201 ROUTE 111 HAMPSTEAD NH (603) LINDA STEIR 11/1/ /31/2015 SUSAN C ARMSTRONG, Adult Day Care SEASIDE ELDERLY DAY OUT CENTER 441 REAR LAFAYETTE ROAD HAMPTON NH (603) /1/2014 9/30/2015 Adult Day Care SILVERTHOE ADULT DAY CARE CENTER 23 GEREMONTY DRIVE SALEM NH (603) PAULA FAIST 12/1/ /30/2015 Adult Day Care TLC MEDICAL DAY CARE FOR ADULTS 211 LOUDON RD COURTYARD SQ #H (603) JEAN C FISKE 4/1/2015 3/31/2016 Adult Day Care UPPER VALLEY GOOD DAY RESPITE PROGRAM 18 SCHOOL STREET Lebanon NH (603) KULLI BLOOM, 2/1/2015 1/31/2016 Grafton Adult Day Care VINTAGE GRACE 12 PEABODY ROAD DERRY NH (603) AMY BIZEUR 10/1/2014 9/30/2015 Adult Family Care AF012 GOE HILL RD (35) 35 GOE HILL RD Madison NH (603) CHERI SCANLON 3/1/2015 2/29/ Carroll Adult Family Care AF014 HIGH ST (83) 83 HIGH ST Danbury NH (603) ROBIN OVERLOCK 8/1/2015 7/31/ Merrimack Adult Family Care AF006 NORTH BASTEAD RD (853) 853 NORTH BASTEAD RD Barnstead NH (603) JOHN HENDERSON 9/1/2015 8/31/ Belknap Adult Family Care AF013 WATER ST (55) 55 WATER ST Boscawen NH (603) NANCY HAAS 7/1/2015 6/30/ Merrimack Ambulatory Surgical AMBULATORY SURGERY CENTER (MANCHESTER) 100 HITCHCOCK WAY MANCHESTER NH (603) MELANIE J. SCHLEICH, 3/1/2015 2/29/2016 Ambulatory Surgical ATLANTIC PLASTIC SURGERY 100 GRIFFIN ROAD., STE B PORTSMOUTH NH (603) LAWRENCE N GRAY, MD 7/1/2015 6/30/2016 Ambulatory Surgical BARRINGTON SURGICAL CARE, LLC 944 CALEF BARRINGTON NH (603) SUSAN TAYLOR-FOSS, 8/1/2015 7/31/2016 Ambulatory Surgical BEDFORD AMBULATORY SURGICAL CENTER 11 WASHINGTON PLACE BEDFORD NH (603) NICHOLAS VAILAS 4/1/2015 3/31/2016 Ambulatory Surgical CENTER FOR OUTPATIENT CARE 5 ALUMNI DRIVE EXETER NH (603) BRIAN CAMPBELL 5/1/2015 4/30/2016 Ambulatory Surgical CENTERS FOR PAIN SOLUTIONS 280 MAIN STREET, SUITE 420 NASHUA NH (603) JENNIFER FREEMAN, 12/1/ /30/2016 Ambulatory Surgical CONCORD AMBULATORY SURGERY CENTER 60 COMMERCIAL ST (603) DEBORAH GOSSELIN, 11/1/ /31/2016 Ambulatory Surgical CONCORD ENDOSCOPY CENTER 60 COMMERCIAL ST (603) DEBORAH GOSSELIN, 11/1/ /31/2016 Ambulatory Surgical CONCORD EYE SURGERY LLC Ambulatory Surgical DARTMOUTH-HITCHCOCK NASHUA ENDOSCOPY CTR 246 PLEASANT STREET, STE 105B Ambulatory Surgical DR O'CONNELLS PAINCARE CENTERS, INC. 255 ROUTE 108 SOMERSWORTH NH (603) (603) PATRICIA A. BOURGAULT 1/1/ /31/ SOUTHWOOD DRIVE NASHUA NH (603) CAROL TOWNSEND, 4/1/2015 3/31/2016 MARIANNA R STEWART, 6/1/2015 5/31/2016 Ambulatory Surgical DR O'CONNELLS PAINCARE CENTERS, INC. 1 MOUND COURT NH (603) GINETTE CARPENTINO 12/1/ /30/2016 Ambulatory Surgical ELLIOT 1-DAY SURGERY RIVERS EDGE 185 QUEEN CITY AVENUE MANCHESTER NH (603) JOSEPH TATE CURTI, MHSA 4/1/2015 3/31/2016

2 Ambulatory Surgical ELLIOT ENDOSCOPY RIVERS JOSEPH TATE CURTI, 185 QUEEN CITY AVENUE MANCHESTER NH (603) EDGE MHSA 4/1/2015 3/31/2016 Ambulatory Surgical HILLSIDE SURGERY CENTER 14 MAPLE STREET SUITE SAMANTHA BEASCONI, GILFORD NH (603) /1/2015 7/31/2016 BELKNAP Ambulatory Surgical LACONIA CLINIC AMBULATORY SURGICAL CTR 724 MAIN ST LACONIA NH (603) JO-ANN E. NOLAN, 3/1/2015 2/29/2016 BELKNAP Ambulatory Surgical NASHUA AMBULATORY SURGICAL CENTER LLC 15 RIVERSIDE DRIVE NASHUA NH (603) NEAL MORRIS, 7/1/2015 6/30/2016 Ambulatory Surgical NASHUA EYE SURGERY CENTER 5 COLISEUM AVENUE NASHUA NH (603) RUTH ZEMETRES, 1/1/ /31/2015 Ambulatory Surgical NH EYE SURGICENTER 105 RIVERWAY PLACE, BLDG 1 BEDFORD NH (603) MELISSA HULL, 1/1/ /31/2015 Ambulatory Surgical NORTHEAST SURGICAL CARE 2299 WOODBURY AVE, #5 NEWINGTON NH (603) BRANDY FROST, 8/1/2015 7/31/2016 Ambulatory Surgical ORCHARD SURGICAL CENTER 16 KEEWAYDIN DR Salem NH (603) CATHY D'ENTREMONT, 2/24/2015 1/31/2016 Rockingham Ambulatory Surgical ORTHOPAEDIC SURGERY CENTER 264 PLEASANT STREET (603) DONNA QUINN, 3/1/2015 2/29/2016 Ambulatory Surgical ORTHOPAEDIC SURGERY CENTER DERRY 14 TSIENNETO RD DERRY NH (603) DONNA M QUINN, 1/1/ /31/2016 Ambulatory Surgical PARKLAND ENDOSCOPY CENTER 44 BIRCH STREET STE 103 DERRY NH (603) VANESSA A BRETTON, 3/1/2015 2/29/2016 Ambulatory Surgical PORTSMOUTH REGIONAL ASC 333 BORTHWICK AVE SUITE 200 PORTSMOUTH NH (603) CYNTHIA C FORTUNE, 9/1/2015 8/31/2016 Ambulatory Surgical RYE SURGICAL CENTER 270 LAFAYETTE RD Rye NH (603) SUSAN TAYLOR-FOSS, 6/1/2015 5/31/2016 Rockingham Ambulatory Surgical SALEM SURGERY CENTER 32 STILES ROAD SALEM NH (603) CYNTHIA FORTUNE, 10/1/2015 9/30/2016 Ambulatory Surgical STRATHAM AMBULATORY SURGERY CENTER 4 WEST ROAD SUITE B-1 STRATHAM NH (603) THOMAS S MENKE, DO 4/1/2015 3/31/2016 Ambulatory Surgical THE SURGERY CENTER OF GREATER NASHUA 10 PROSPECT STREET NASHUA NH (603) LAURA HARTMANN 7/1/2015 6/30/2016 Ambulatory Surgical WENTWORTH SURGERY CENTER, LLC 6 WORKS WAY Somersworth NH BARBARA PLANSINIS, 2/1/2015 1/31/2016 Strafford ARTABAN HOUSE 40 PLOWSHARE LANE GREENFIELD NH (603) MOLLY PARK 1/1/ /31/ AUSTIN HOME 532 WHITE PLAINS ROAD WEBSTER NH (603) STEPHANIE ORLANDO 4/1/2015 3/31/ BELLAMY FIELDS 150 GARRISON ROAD DOVER NH (603) MELISSA A. SABINA 11/1/ /31/ BENTLEY COMMONS AT BEDFORD 66 HAWTHOE DRIVE BEDFORD NH (603) PATRICIA SCHOCH 3/1/2015 2/29/ BENTLEY COMMONS AT KEENE 197 WATER STREET KEENE NH (603) MEGHAN COOK, 9/1/2015 8/31/ BIRCH 61 LUKAS DRIVE TEMPLE NH (603) AUREA DAVIS 1/1/ /31/ CANTERBURY HALL LLC 353 BAPTIST RD Canterbury NH (603) ANN BERRY 2/17/2015 1/31/ CARPENTER HOME 1 SIMENEAU LANE Swanzey Cntr NH (603) JUDITH BOHANNON 7/1/2015 6/30/ COLONIAL FOX DEN, LLC 208 NORTH ROAD Sandown NH (603) MARK QUEIROS 12/1/ /30/ COPP HILL RES HOME FOR ELDERLY LLC 176 COPP HILL ROAD SANBOVILLE NH (603) CHERYL DODDRELL 9/1/2015 8/31/ CROSSROAD FARM 37 MEMORIAL DRIVE TEMPLE NH (603) LORY HESS 1/1/ /31/ DESIREE'S PLACE 93 CHARLES STREET ROCHESTER NH (603) CASEY BRENNAN 4/1/2015 3/31/ ECHO FARM 63 MEMORIAL TEMPLE NH (603) MICHAEL STEINRUECK 1/1/ /31/ FOUR WINDS COMMUNITY- IONA HOUSE 1172 GIBBONS WILTON NH (603) PAUL MARTIN 10/1/2014 9/30/ FOUR WINDS COMMUNITY-ST ORAN HOUSE 32 COLBU ROAD TEMPLE NH (603) PAUL MARTIN 10/1/2014 9/30/ CHESHIRE Merrimack Cheshire Rockingham CARROLL

3 02801 FOX MEADOW RETIREMENT HOME 1151 SUMMER STREET BRISTOL NH (603) COREY JOHNSTON 7/1/2015 6/30/ GRAFTON FRIENDSHIP MANOR 151 MAIN STREET NEW IPSWICH NH (603) GARY CAHOON 1/1/ /31/ GREAT BAY RESIDENTIAL FACILITY 2041 WOODBURY AVENUE NEWINGTON NH (603) PAULA STERLING 10/1/2014 9/30/ Belknap GREAT BAY RESIDENTIAL FACILITY II 413 LAFAYETTE ROAD PORTSMOUTH NH (603) JULIE BARRATT 9/1/2015 8/31/ HARMONY HOMES LLC 1 STAGECOACH LANE DURHAM NH (603) ALEXANDRIA MCGRATH 2/1/2015 1/31/ HATTIE'S PLACE 256 MAIN STREET FARMINGTON NH (603) KRISTIE L. FAULK 10/1/2014 9/30/ HORSESHOE PINES 79 PROVINCE ROAD GOSHEN NH (603) STEVE & RUBY GUYETTE 1/1/ /31/ SULLIVAN JACQUELINE HUMMING BIRDS (THE) 17 N DIVISION ROAD SILVER LAKE NH (603) /1/2014 8/31/2015 CHAMPAGNE 3 CARROLL JOVIS HOUSE 12 WHITNEY DRIVE GREENFIELD NH (603) JOEL PARK 5/1/2015 4/30/ LEDGEWOOD 62 LUKAS DRIVE TEMPLE NH (603) THOMAS RUSSELL 1/1/ /31/ LEDGEWOOD BAY ASSISTED LIVING & LEDGEWOOD DRIVE MILFORD NH (603) JOHN RATCLIFFE 10/1/2014 9/30/2015 MEMORY C LILAC VIEW CORP 18 HEALTH CARE DRIVE ROCHESTER NH (508) SUSAN AVERY 10/1/2015 9/30/ LINCOLN TERRACE HOME 11 LINCOLN STREET ROCHESTER NH (603) GAIL ELLIS-YOUNG 3/1/2015 2/29/ LONGFELLOW'S 868 FRANKLIN EAST ANDOVER NH (603) CARLENE LONGFELLOW 9/1/2014 8/31/ MAE'S PLACE LLC 212 SUMMER STREET BRISTOL NH (603) MARSHA ELDER 9/1/2015 8/31/ GRAFTON MEADOW VIEW MANOR 749 SALMON FALLS ROAD ROCHESTER NH (603) SAMUEL P BAKER JR 8/1/2014 7/31/ MERRY MEADOW FARM - HANOVER HOUSE 1 PROSPECT STREET HANOVER NH (603) RHONDA ORR 9/1/2015 8/31/ GRAFTON MYRTLE MANOR II INC 83 MYRTLE STREET MANCHESTER NH (603) SUZANNE D DUMONT 8/1/2015 7/31/ NEURORESTORATIVE NH-HEMLOCK HILL 45 HEMLOCK HILL DR Loudon NH (603) KATHLEEN DROWN 2/1/2015 1/31/ Merrimack NORTH COUNTRY MANOR LLC 71 SCHOOL STREET LITTLETON NH (603) ANNAMARIE SLOSS, 12/1/ /30/ GRAFTON 412 DARTMOUTH COLLEGE ON THE GREEN RESIDENTIAL CARE FACILITY HAVERHILL NH (603) JANICE ESTES 7/1/2015 6/30/ GRAFTON OUR PLACE INN TIME 31 TAPPAN STREET FARMINGTON NH (603) VALERIE HYMAN 10/1/2014 9/30/ OUTREACH HOUSE INC 11 SOUTH PARK STREET HANOVER NH (603) SUSAN SHINN 5/1/2015 4/30/ GRAFTON PILLSBURY HOME 95 HIGH ST MILFORD NH (603) ELEANOR HAKEY/JOANN LAPONSIE 12/1/ /30/ PINE HILL RETIREMENT HOME 35 NORTH LOWELL ROAD WINDHAM NH (603) KAREN MASSAHOS 9/29/ /30/ PINE VIEW HAVEN 85 FRANKLIN ANDOVER NH (603) JAMES DELANEY SR 11/1/ /31/ POND VIEW ACRES 923 FRANKLIN PIERCE BARRINGTON NH (603) JESSICA QUINN, LNA 2/1/2015 1/31/ PRESIDENTIAL OAKS ASSISTED LIVING 200 PLEASANT STREET (603) PATRICIA PRIVE, 6/1/2015 5/31/ PROVIDENCE HOUSE ELDERCARE SERVICES, LLC 25 MAIN ST Rochester NH (603) ALBERT MUTASCIO 9/25/2015 8/31/ RED FARM HOUSE 24 WHITNEY ROAD GREENFIELD NH (603) KIMBERLY DO 7/1/2015 6/30/ Strafford

4 01753 RESIDENTIAL OPPORTUNITIES 200 GREENLEAF AVENUE PORTSMOUTH NH (603) ANNE SUAVE 4/1/2015 3/31/ ROSEWOOD MANOR LLC 2 CHURCH STREET Gonic NH (603) GAIL ELLIS-YOUNG 2/1/2015 1/31/ Strafford SARTWELL PLACE 6 TERRACE STREET WHITEFIELD NH (603) JEAN NIECE, 12/1/ /30/ COOS SILVER MAPLES RESIDENTIAL CARE 5 WINTER STREET CLAREMONT NH (603) KRISTEN P LIDBECK 9/1/2015 8/31/ SULLIVAN STUDLEY HOME 15 EASTE AVENUE ROCHESTER NH (603) KATE BUCKOVITCH 1/1/ /31/ SUMMERCREST 169 SUMMER STREET NEWPORT NH (603) STEPHEN E GUNNERSON 11/1/ /31/ SULLIVAN SUNAPEE COVE ASSISTED LIVING 1250 ROUTE 11 Georges Mills NH (603) ELAINE EATON 4/1/2015 3/31/ Sullivan THE BEST PLACE, LLC 35 WOODROW AVENUE FRANKLIN NH (603) BREKKE SPADARO, 12/1/ /30/ THE CARRIAGE HOUSE OF NORTHFIELD 9 SUMMER STREET NORTHFIELD NH (603) JASON ROY 10/1/2014 9/30/ BELKNAP 21 UPPER MILE POINT THE INN AT MEREDITH BAY MEREDITH NH (603) JAMES MURRAY 9/1/2014 8/31/2015 DRIVE 44 BELKNAP TOBIAS HOUSE 75 BIRCH HILL ROAD TEMPLE NH (603) BERTRAM VON ZABE 1/1/ /31/ VAN DYKE HOUSE 178 MAIN STREET COLEBROOK NH (603) LAURA CLARKE 4/1/2015 3/31/ COOS VICTORIAN HEIGHTS 936 SOUTH STREET PORTSMOUTH NH (603) JANICE BEYNON 3/1/2015 2/29/ CHRISTOPHER KELLIHER /ESTHER MCDONOUGH VILLAGER RETIREMENT HOME 50 N. MAST STREET GOFFSTOWN NH (603) /1/ /30/ VINTAGE HILL, LLC 10 BERRY AVENUE PITTSFIELD NH (603) MARILYN J ROBERTS, 8/1/2015 7/31/ WASHINGTON MANOR 67 PROSPECT STREET MANCHESTER NH (603) SUSAN VENTRESCA 12/1/ /30/ WCC APPLEGATE GARDENS HOME 141 MOUNTAIN ROAD Tuftonboro NH (603) DEBBIE K MITCHELL 7/1/2015 6/30/ Carroll WE CARE ASSISTED LIVING HOME, LLC 12 CROSS STREET ALLENSTOWN NH (603) MARY JANE CHAVIRA 9/1/2014 8/31/ WELLSTONE HOUSE 125 LANGFORD ROAD RAYMOND NH (603) AMY TREMBLAY 3/1/2015 2/29/ WESTBORO HOUSE 11 ELM ST WEST West Lebanon NH (603) VINCENT JEWELL 2/1/2015 1/31/ Grafton Birthing BIRTH COTTAGE OF MILFORD 4 PROSPECT STREET Milford NH (603) ADRIAN FELDHUSEN, NHCM 7/1/2015 6/30/ Hillsborough Birthing CONCORD BIRTH CENTER LLC 254 N STATE STREET UNIT CYNTHIA OWEN, CPM, (603) D NHCM 4/1/2015 3/31/ Birthing MONADNOCK BIRTH CENTER, LLC 907 ROUTE 10 West Swanzey NH (917) MARY LAWLOR, CPM, NHCM 3/1/2015 2/29/ Cheshire Case Management Agency BRAIN INJURY ASSOCIATION OF NH 52 PLEASANT ST (603) STEVEN WADE 4/1/2015 3/31/2016 Belknap Case Management Agency CENTER FOR ELDERLY, ADULT AND FAMILY SERVICES INC 100 MAIN ST STE 17 Nashua NH (603) JEANNE MARCOUX 1/21/ /31/2015 Hillsborough Case Management Agency COMMUNITY BRIDGES 70 PEMBROKE ROAD (603) ROY GERSTENBERGER 2/1/2015 1/31/2016 Case Management Agency COMMUNITY CROSSROADS Case Management Agency CROTCHED MOUNTAIN COMMUNITY CARE 8 COMMERCE DRIVE STE INTEATIONAL DRIVE STE 202 ATKINSON NH (603) DENNIS POWERS 11/1/ /31/2015 PORTSMOUTH NH (603) ANN SCHWARTZWALDER, MSW 5/1/2015 4/30/2016 Case Management Agency GATEWAYS CASE MANAGEMENT SERVICES 144 CANAL STREET NASHUA NH (603) BETH RAYMOND 5/1/2015 4/30/2016 Case Management Agency HERITAGE CASE MANAGEMENT 10 FERRY ST., STE 426 (603) BARBARA RYAN 12/1/ /30/2016 Belknap Case Management Agency LAKES REGION GENERAL HOSPITAL 577 MAIN ST LACONIA NH (603) GLORIA THORINGTON 2/1/2015 1/31/2016 BELKNAP Case Management Agency LIFE COPING INC 295 MAIN STREET NASHUA NH (603) ELLEN CURELOP, 11/1/ /31/2015 Belknap

5 Case Management Agency VALLEY ASSISTANCE PROGRAM 8 WALL STREET (603) VELMA MCCLURE 4/1/2015 3/31/2016 Case Management Agency PILOT HEALTH, LLC 105 CASTLE STREET KEENE NH (603) VIRGINIA ROYCE, 5/1/2015 4/30/2016 CHESHIRE Collecting Station ADVANCED HEALTH AND WELLBEING PC 5 MERRIT PARKWAY Nashua NH (603) MARY MCALEESE 4/29/2015 3/31/2016 Hillsborough Collecting Station ALTON FAMILY MEDICINE 82 MAIN STREET ALTON NH (603) BARBARA QUEALY 5/1/2015 4/30/2016 BELKNAP Collecting Station ANY LAB TEST NOW - COLLECTING STATION 707 MILFORD ROAD 4A NH (603) CHERYL SIMONSON, 9/1/2015 8/31/2016 Collecting Station ATLANTIC DIGESTIVE DISEASE SPECIALISTS 330 BORTHWICK AVE STE 311 Portsmouth NH (603) MARY MCALEESE 2/13/2015 1/31/2016 Rockingham Collecting Station BAIRD HEALTH & COUNSELING CTR-CS 541 MAIN STREET NEW LONDON NH (603) PAMELA A SPEAR 9/1/2015 8/31/2016 Collecting Station BARRINGTON WALK IN CARE 426 CALEF BARRINGTON NH (603) GISELA HAAG, MLT 11/1/ /31/2016 Collecting Station CH EPSOM MEDICAL OFFICE BUILDING 1990 DOVER ROAD EPSOM NH (603) DEBRA WILLEY, MBA, NT(ASCP) 12/1/ /30/2016 Collecting Station CH LAB CONCORD ORTHOPAEDICS 264 PLEASANT STREET (603) DEBRA WILLEY, MT(ASCP) 2/1/2015 1/31/2016 Collecting Station CH LAB PENACOOK FAMILY DEBRA WILLEY, MT 4 CRESCENT STREET PENACOOK NH (603) PHYSICIANS (ASCP) 4/1/2015 3/31/2016 Collecting Station CHESHIRE MEDICAL CENTER CS 17 NINETY-THIRD STREET KEENE NH (603) ARTHUR W. NICHOLS 9/1/2015 8/31/2016 CHESHIRE Collecting Station CMC LAB COLLECTION BEDFORD 188 ROUTE 101 BEDFORD NH (603) ROBERTA E PROVENCAL 12/1/ /30/2015 Collecting Station CMC LAB BEDFORD MEDICAL PARK 5 WASHINGTON PLACE BEDFORD NH (603) ROBERTA E PROVENCAL 8/1/2015 7/31/2016 Collecting Station CMC LAB FAM PHYS OF MANCHESTER 57 WEBSTER STREET MANCHESTER NH (603) ROBERTA PROVENCAL 3/1/2015 2/29/2016 Collecting Station CMC LAB HOOKSETT PC 11 KIMBALL DRIVE HOOKSETT NH (603) ROBERTA PROVENCAL 11/1/ /31/2016 Collecting Station Collecting Station CMC LAB NOTRE DAME MEDICAL PAVILION CMC LAB QUEEN CITY MEDICAL ASSOC. 87 MCGREGOR STREET MANCHESTER NH (603) ROBERTA E PROVENCAL 2/1/2015 1/31/ SOUTH MAIN STREET MANCHESTER NH (603) ROBERTA E PROVENCAL 7/1/2015 6/30/2016 Collecting Station CMC LAB PRIMARY CARE 17A TATRO DRIVE GOFFSTOWN NH (603) ROBERTA E PROVENCAL 7/1/2015 6/30/2016 Collecting Station CMC LAB MEDICAL PARK 27 LONDONDERRY TUPIKE Collecting Station COMMUNITY HEALTH DEPT. MOBILE VAN 18 MULBERRY STREET NASHUA NH (603) Hooksett NH (603) ROBERTA PROVENCAL 9/1/2015 8/31/2016 Merrimack JACQUELINE AGUILAR, 5/1/2015 4/30/2016 Collecting Station CONCENTRA URGENT CARE CS - CONCORD 1 PILLSBURY STREET (603) JORDAN GRAUSTARK 2/1/2015 1/31/2016 JOSEPH S. CASTORINA, Collecting Station CONCENTRA URGENT CARE-CS NASHUA 14A BROAD ST NASHUA NH (603) /1/2015 1/31/2016 MD CONCENTRA URGENT CARE-MANCHESTER 1279 SOUTH WILLOW Collecting Station MANCHESTER NH (603) CRAIG PACKARD MD 12/1/ /30/2015 CS STREET Collecting Station CONCORD HOS HORSESHOE POND 60 COMMERCIAL ST (603) DEBRA WILLEY 11/1/ /31/2016 CONCORD HOSP COLL STATION - MEMORIAL Collecting Station PLEASANT STREET (603) DEBRA WILLEY 9/1/2015 8/31/2016 BLD Collecting Station CONCORD HOSP CS AT HERITAGE HEIGHTS 149 EAST SIDE DRIVE (603) DEBRA WILLEY, MT 7/1/2015 6/30/2016 Collecting Station CONCORD HOSPITAL OCC. HEALTH SRVS. 60 COMMERCIAL STREET (603) DEBRA WILLEY 12/1/ /30/2015 Collecting Station CONCORD HOSPITAL PEMBROKE 121 PEMBROKE STREET PEMBROKE NH (603) DEBRA WILLEY 4/1/2015 3/31/2016 Collecting Station CONCORD HOSPITAL WAER 2 EAST MAIN STREET WAER NH (603) DEBRA WILLEY 1/1/ /31/2015 Collecting Station CONVERGE DIAGNOSTICS SERVICES- JO-ANNE LEMENAGER 10 FERRY STREET #201 (800) CONCORD (ASCP) HS 2/1/2014 1/31/2015 Collecting Station CORE LAB AT 21 HAMPTON ROAD 21 HAMPTON ROAD EXETER NH (603) CANDY GARDNER 12/1/ /30/2016 Collecting Station DARTMOUTH-HITCHCOCK BEDFORD CS 25 SOUTH RIVER ROAD BEDFORD NH (603) CAMELLIA S BAGLEY 4/1/2015 3/31/2016 Collecting Station DARTMOUTH-HITCHCOCK CONCORD CS 253 PLEASANT ST Concord NH (603) CAMELLIA S BAGLEY 6/29/2015 5/31/2016 Merrimack Collecting Station DARTMOUTH-HITCHCOCK HEATER ROAD 18 OLD ETNA ROAD LEBANON NH (603) MICHAEL T HARHEN 11/1/ /31/2016 GRAFTON Collecting Station DARTMOUTH-HITCHCOCK HUDSON CS 208 ROBINSON ROAD HUDSON NH (603) CAMELLIA S BAGLEY, MT(ASCP) 7/1/2015 6/30/2016

6 Collecting Station DARTMOUTH-HITCHCOCK MANCHESTER CS 100 HITCHCOCK WAY MANCHESTER NH (603) CAMELLIA S BAGLEY 4/1/2015 3/31/2016 Collecting Station DARTMOUTH-HITCHCOCK CS 294 DANIEL WEBSTER NH (603) CAMELLIA S BAGLEY 4/1/2015 3/31/2016 Collecting Station DARTMOUTH-HITCHCOCK MILFORD CS 14 ARMORY ROAD MILFORD NH (603) CAMELLIA S BAGLEY 4/1/2015 3/31/2016 Collecting Station DARTMOUTH-HITCHCOCK NASHUA CS 2300 SOUTHWOOD DRIVE NASHUA NH (603) CAMELLIA S BAGLEY, MT 1/1/ /31/2015 Collecting Station DARTMOUTH-HITCHCOCK PILLSBURY CS 2 PILLSBURY ST STE 401 Concord NH (603) CAMELLIA S BAGLEY 6/29/2015 5/31/2016 Merrimack Collecting Station DARTMOUTH-HITCHCOCK WASHINGTON CAMELLIA S BAGLEY, 5 WASHINGTON PL Bedford NH (603) PLACE COLLECTING STATION MT(ASCP) 9/8/2015 8/31/2016 Hillsborough Collecting Station DIVISION OF PUBLIC HEALTH AND COMM. JACQUELINE AGUILAR, 18 MULBERRY STREET NASHUA NH (603) SERV 9/1/2015 8/31/2016 Collecting Station EH MANCHESTER COMMNTY HEALTH CNTR 145 HOLLIS ST MANCHESTER NH (603) BARRY FISH 8/1/2015 7/31/2016 Collecting Station EH EASTER SEALS 555 AUBU STREET MANCHESTER NH (603) BARRY FISH 1/1/ /31/2015 Collecting Station ELLIOT COLLECTION RIVERS EDGE 185 QUEEN CITY AVENUE MANCHESTER NH (603) BARRY FISH 3/1/2015 2/29/2016 Collecting Station ELLIOT DRAW CENTER 401 CYPRESS STREET MANCHESTER NH (603) BARRY FISH 1/1/ /31/2015 Collecting Station ELLIOT HOOKSETT AMBULATORY CARE CNT 20 CHAMBERS ROAD HOOKSETT NH (603) BARRY FISH 6/1/2015 5/31/2016 Collecting Station ELLIOT HOSPITAL - 4 ELLIOT WAY 4 ELLIOT WAY - SUITE 101 MANCHESTER NH (603) BARRY FISH 8/1/2015 7/31/2016 Collecting Station ELLIOT BEDFORD COMMONS BEDFORD COMMONS, RIVERWAY PL BEDFORD NH (603) BARRY FISH 2/1/2015 1/31/2016 Collecting Station ELLIOT HOSPITAL-TARRYTOWN ROAD 190 TARRYTOWN ROAD MANCHESTER NH (603) BARRY FISH 8/1/2015 7/31/2016 Collecting Station EPPING FAMILY PRACTICE - CS 212 CALEF EPPING NH (603) CANDY GARDNER 4/1/2015 3/31/2016 Collecting Station EXETER HOSPITAL-COLLECTING STATION 5 ALUMNI DRIVE EXETER NH (603) ELLEN M SIMMS 5/1/2015 4/30/2016 Collecting Station FMH LABORATORY SERVICE CENTER 12 SIGNAL STREET ROCHESTER NH (603) BRENDA NILAND 5/1/2015 4/30/2016 Collecting Station FRANKLIN PIERCE HEALTH SERVICES - CS 40 UNIVERSITY DRIVE RINDGE NH (603) LEE POTTER, 12/1/ /30/2015 CHESHIRE Collecting Station GRANITE STATE LAB LLC 120 WASHINGTON ST Rochester NH (603) JOHN MARZINZIK 5/1/2015 4/30/2016 Strafford Collecting Station HAMPTON HEALTH DRAW STATION 879 LAFAYETTE ROAD HAMPTON NH (603) CANDICE GARDNER 5/1/2015 4/30/2016 Collecting Station HCA HEALTH SRVS. OF NH - PELHAM CS 49 ATWOOD ROAD PELHAM NH (603) STEPHANIE R PAYEUR,MBA,MT(ASCP) 2/1/2015 1/31/2016 Collecting Station HOOKSETT LAB DRAWING STATION 200 TECHNOLOGY DRIVE HOOKSETT NH (603) BARRY FISH 6/1/2015 5/31/ DANIEL WEBSTER CHRISTOPHER Collecting Station INTERLAKES CLINICAL LABORATORY MEREDITH NH (603) /1/ /31/2015 BELKNAP RECORDS, BS,MT Collecting Station KINGSTON HEALTH 53 CHURCH STREET UNIT 14 KINGSTON NH (603) CANDY GARDNER 5/1/2015 4/30/2016 Collecting Station LABCORP/BEDFORD COMMONS PSC 101 RIVERWAY PLACE BEDFORD NH (603) JACQUELYN CANTWELL 6/1/2015 5/31/2016 Collecting Station LABCORP/EXETER PCS-HAMPTON RD 19 HAMPTON ROAD EXETER NH (603) JACQUELYN CANTWELL 4/1/2015 3/31/2016 Collecting Station LABCORP/GREENLAND RD PSC 875 GREENLAND ROAD B2 PORTSMOUTH NH (603) JACQUELYN CANTWELL 9/1/2015 8/31/2016 Collecting Station LABCORP/LAFAYETTE PROF. PARK 230 LAFAYETTE ROAD BLDG. D PORTSMOUTH NH (603) JACQUELYN CANTWELL 6/1/2015 5/31/2016 Collecting Station LABCORP/MANCHESTER MENTAL HEALTH 1555 ELM STREET MANCHESTER NH (603) JACQUELYN CANTWELL 6/1/2015 5/31/2016 Collecting Station LABCORP/ VILLAGE FAMILY PRAC. 454 DW UNIT E & F NH (603) JACQUELYN CANTWELL 6/1/2015 5/31/2016 Collecting Station LABCORP/ROCHESTER PSC 40 WINTER STREET ROCHESTER NH (603) JACQUELYN CANTWELL 5/1/2015 4/30/2016 Collecting Station LABCORP/STILES ROAD 31 STILES ROAD SALEM MN (603) JACQUELYN CANTWELL 4/1/2015 3/31/2016 Collecting Station LABCORP\CENTRAL COMMONS 750 CENTRAL AVENUE DOVER NH (603) JACQUELYN CANTWELL 7/1/2015 6/30/2016 Collecting Station LABCORP-GREENHOUSE NATUROPATHIC 109 PONEMAH ROAD AMHERST NH (603) JACQUELYN CANTWELL 10/1/2015 9/30/2016 Belknap

7 Collecting Station LABCORP-PELHAM RD 25 PELHAM ROAD SALEM NH (603) JACQUELYN CANTWELL 11/1/ /31/2016 Collecting Station LABCORP-SOMERSWORTH 21 CLARK WAY SOMERSWORTH NH (603) JACQUELYN CANTWELL 9/1/2015 8/31/2016 Collecting Station LABCORP-WINDHAM PSC 49 RANGE ROAD SUITE 101 WINDHAM NH (603) JACQUELYN CANTWELL 10/1/2015 9/30/2016 Collecting Station LACONIA CLINIC CS 724 MAIN STREET LACONIA NH (603) JANIE BENSON 1/1/ /31/2015 BELKNAP Collecting Station LONDONDERRY LAB DRAWING STATION 40 BUTTRICK ROAD LONDONDERRY NH (603) BARRY FISH 5/1/2015 4/30/2016 Collecting Station MANCHESTER HEALTH DEPARTMENT CS 1528 ELM STREET MANCHESTER NH (603) TIMOTHY SOUCY, MPH 12/1/ /30/2015 Collecting Station MILFORD MEDICAL CENTER DRAW STATION 442 NASHUA ST Milford NH (603) JEANNE WILSON 12/1/ /30/2015 Hillsborough Collecting Station MILLPOND FAMILY PRACTICE -CS 44 NEWMARKET ROAD DURHAM NH (603) CANDACE GARDNER 6/1/2015 5/31/2016 Collecting Station MOULTONBORO FAMILY MEDICINE 984 WHITTIER MOULTONBOROU GH NH (603) BARBARA QUEALY 5/1/2015 4/30/2016 CARROLL Collecting Station NE REHAB PEASE MOBILE CS 105 CORPORATE DRIVE Portsmouth NH (603) SHARYN WEINER, MT (ASCP) 7/1/2015 6/30/2016 Rockingham Collecting Station NEW HAMPTON FAMILY PRACTICE-LRGH CLIN LA 345 NH ROUTE 104 STE 107 NEW HAMPTON NH (603) CHRISTOPHER RECORDS 7/1/2015 6/30/2016 BELKNAP Collecting Station NEWFOUND FRH CLINICAL LABORATORY 5 SCHOOL STREET BRISTOL NH (603) CHRISTOPHER RECORDS, BS, MT 1/1/ /31/2015 GRAFTON Collecting Station NEWPORT HEALTH CENTER 11 JOHN STARK NEWPORT NH (603) LAWERENCE SCHISSEL, MD 3/1/2015 2/29/2016 SULLIVAN Collecting Station NHTI HEALTH SERVICES-CS 4 INSTITUTE DRIVE (603) JANET TURGEON 7/1/2015 6/30/2016 Collecting Station NORDX-EXETER 1 HAMPTON RD STE 102 Exeter NH (207) CRYSTAL SANDS 1/23/ /31/2015 Rockingham Collecting Station NORDX-HAMPTON 24 STICKNEY TERRACE #8 HAMPTON NH (603) CRYSTAL SANDS 3/1/2015 2/29/2016 Collecting Station NORDX-NEWINGTON 100 SHATTUCK WAY NEWINGTON NH (207) CRYSTAL SANDS 5/1/2015 4/30/2016 Collecting Station NORDX-ROCHESTER 161 SOUTH MAIN STREET ROCHESTER NH (603) CRYSTAL SANDS 2/1/2015 1/31/2016 Collecting Station NORDX-SOMERSWORTH 311 ROUTE 108 SOMERSWORTH NH (207) CRYSTAL SANDS 8/1/2015 7/31/2016 Collecting Station NUTFIELD COLLECTION STATION 44 BIRCH STREET DERRY NH (603) STEPHANIE R PAYEUR, MBA, MT 5/1/2015 4/30/2016 Collecting Station OSSIPEE FAMILY MEDICINE 3 WATER VILLAGE ROAD OSSIPEE NH (603) BARBARA QUEALY 5/1/2015 4/30/2016 CARROLL Collecting Station PLAISTOW HEALTH 24 PLAISTOW RD UNIT 3 PLAISTOW NH (603) CANDY GARDNER 6/1/2015 5/31/2016 Collecting Station PRH PATIENT SERVICE CENTER-PEASE 25 NEW HAMPSHIRE AVE SHARYN WEINER, Portsmouth NH (603) STE 105 MT(ASCP) 6/25/2015 5/31/2016 Rockingham Collecting Station PRH-CS 155 BORTHWICK AVENUE SHARYN M WEINER MT PORTSMOUTH NH (603) SUITE 302 (ASCP) 7/1/2015 6/30/2016 Collecting Station PRH-PATIENT SERVICE CENTER 330 BORTHWICK AVENUE SHARYN M WEINER, MT PORTSMOUTH NH (603) SUITE 102 (ASCP) 3/1/2015 2/29/2016 Collecting Station PRH-PATIENT SERVICE CENTER GRIFFIN RD 155 GRIFFIN ROAD PORTSMOUTH NH (603) SHARYN M WEINER, MT (ASCP) 10/1/2015 9/30/2016 Collecting Station PRH-PATIENT SERVICES CENTER 55 HIGH STREET - SUITE 104 HAMPTON NH (603) SHARYN M WEINER, MT (ASCP) 7/1/2015 6/30/2016 Collecting Station QUEST DIAGNOSTICS 160 SOUTH RIVER ROAD SUITE 100 BEDFORD NH (603) MADELINE E CAPANO 6/1/2015 5/31/2016 Collecting Station QUEST DIAGNOSTICS 195 MACGREGOR ST MANCHESTER NH (617) MADELINE E CAPANO 11/1/ /31/2016 Collecting Station QUEST DIAGNOSTICS 200 GRIFFIN RD, UNIT 12 PORTSMOUTH NH (603) MADELINE E CAPANO 4/1/2015 3/31/2016 Collecting Station QUEST DIAGNOSTICS 128 STATE STREET ROUTE 27 RAYMOND NH (617) MADELINE E CAPANO 8/1/2015 7/31/2016 Collecting Station QUEST DIAGNOSTICS, INC. 45 STILES ROAD, UNIT 102 SALEM NH (617) MADELINE E CAPANO 1/1/ /31/2015 Collecting Station QUEST DIAGNOSTICS-300 MAIN STREET 300 MAIN STREET NASHUA NH (603) MADELINE E CAPANO 12/1/ /30/2015 Collecting Station QUEST DIAGNOSTICS-AMHERST 282 STATE RTE 101 Amherst NH (603) MADELINE CAPANO 2/1/2015 1/31/2016 Hillsborough Collecting Station QUEST DIAGNOSTICS-ATKINSON 58 ISLAND POND RD Atkinson NH (603) KATHLEEN WALSH 8/1/2015 7/31/2016 Rockingham Collecting Station QUEST DIAGNOSTICS-BEDFORD 169 S RIVER RD BEDFORD NH (617) MADELINE E CAPANO 11/1/ /31/2016 Collecting Station QUEST DIAGNOSTICS-BELKNAP ST 71 BELKNAP ST Newport NH MADELINE CAPANO 10/1/2015 9/30/2016 Sullivan Collecting Station QUEST DIAGNOSTICS-BUTLER ST 70 BUTLER STREET SALEM NH (617) MADELINE E CAPANO 2/1/2015 1/31/2016 Collecting Station QUEST DIAGNOSTICS-CENTRAL AVE 770 CENTRAL AVE Dover NH (603) KATHLEEN WALSH 8/1/2015 7/31/2016 Strafford Collecting Station QUEST DIAGNOSTICS-COLISEUM AVE 5 COLISEUM AVE NASHUA NH (603) MADELINE E CAPANO 9/1/2015 8/31/2016 Collecting Station QUEST DIAGNOSTICS-CONCORD 10 FERRY ST Concord NH (603) MADELINE CAPANO 2/1/2015 1/31/2016 Merrimack

8 Collecting Station QUEST DIAGNOSTICS-DERRY 6 TSIENNETO ROAD DERRY NH (603) KATHLEEN M. WALSH 5/1/2015 4/30/2016 Collecting Station QUEST DIAGNOSTICS-EXETER 3 ALUMNI DR Exeter NH (603) KATHLEEN M. WALSH 2/1/2015 1/31/2016 Rockingham Collecting Station QUEST DIAGNOSTICS-GILFORD 14 COUNTRY CLUB ROAD GILFORD NH (617) MADELINE E CAPANO 1/1/ /31/2015 BELKNAP Collecting Station QUEST DIAGNOSTICS-GLENCLIFF 393 HIGH ST Glencliff NH (603) MADELINE CAPANO 11/12/ /31/2015 Grafton Collecting Station QUEST DIAGNOSTICS-KEEYWAYDIN DR 22 KEEWAYDIN DR Salem NH (617) MADELINE CAPANO 1/1/ /31/2015 Rockingham Collecting Station QUEST DIAGNOSTICS-LONDONDERRY 6 BUTTERICK ROAD - SUITE LONDONDERRY 200 NH (617) KATHLEEN M WALSH 2/1/2015 1/31/2016 Collecting Station QUEST DIAGNOSTICS-NEWMARKET 207 S. MAIN ST. NEWMARKET NH (603) ,MADELINE E CAPANO 4/1/2015 3/31/2016 Collecting Station QUEST DIAGNOSTICS-ORCHARD PARK 875 GREENLAND RD PORTSMOUTH NH (617) MADELINE E CAPANO 1/1/ /31/2015 Collecting Station QUEST DIAGNOSTICS-PLEASANT ST. CONCORD 280 PLEASANT STREET (603) MADELINE E CAPANO 1/1/ /31/2015 Collecting Station QUEST DIAGNOSTICS-PROSPECT ST 22 PROSPECT STREET NASHUA NH (603) MADELINE E CAPANO 11/1/ /31/2016 Collecting Station QUEST DIAGNOSTICS-RIVERWAY PLACE 201 RIVERWAY PLACE BEDFORD NH (603) MADELINE E CAPANO 7/1/2015 6/30/2016 Collecting Station QUEST DIAGNOSTICS-STILES RD 23 STILES ROAD #210 SALEM NH (603) MADELINE E CAPANO 1/1/ /31/2015 Collecting Station QUEST DIAGNOSTICS-STILES RD 23 STILES RD STE 213 Salem NH (603) MADELINE CAPANO 1/1/ /31/2015 Rockingham Collecting Station QUEST DIAGNOSTICS-TSIENNETO RD 14 TSIENNETO RD #201 DERRY NH (603) KATHLEEN M WALSH 12/1/ /30/2015 Collecting Station QUEST DIAGNOSTICS-WEST ST 391 WEST ST Keene NH (603) MADELINE CAPANO 8/1/2015 7/31/2016 Cheshire Collecting Station SALTONSTALL COLLECTING STATION 9 BUZZELL AVENUE EXETER NH (603) CANDICE GARDNER 5/1/2015 4/30/2016 Collecting Station SJH LAB DRAWING STATION OF AMHERST ST. 460 AMHERST STREET NASHUA NH (603) JEANNE WILSON 1/1/ /31/2015 Collecting Station SJH LAB DRAWING STATION- 382 DANIEL WEBSTER NH (603) JEANNE WILSON 7/1/2015 6/30/2016 Collecting Station SJH LAB DRAWING STATION-SO. NASHUA 173 DANIEL WEBSTER S NASHUA NH (603) JEANNE WILSON 2/1/2015 1/31/2016 Collecting Station SNH MEDICAL CENTER - DERRY RD 300 DERRY ROAD HUDSON NH (603) CELESTE KARSKI 5/1/2015 4/30/2016 Collecting Station SNHMC - PROSPECT ST 17 PROSPECT STREET NASHUA NH (603) CELESTE KARSKI MT (ASCP) 12/1/ /30/2015 Collecting Station SNHMC-280 MAIN ST 1ST FLOOR 280 MAIN STREET 1ST FLOOR NASHUA NH (603) CELESTE KARSKI 12/1/ /30/2016 Collecting Station SNHMC-JONES RD 10 JONES ROAD MILFORD NH (603) CELESTE KARSKI 10/1/2015 9/30/2016 Collecting Station SNHMC-MAIN ST 280 MAIN ST STE 321 Nashua NH (603) CELESTE KARSKI 10/1/2015 9/30/2016 Hillsborough Collecting Station SO NH MEDICAL CENTER CS - PELHAM 22 WINDHAM ROAD PELHAM NH (603) CELESTE KARSKI MT (ASCP) 7/1/2015 6/30/2016 Rockingham Collecting Station SO NH MEDICAL CENTER-SPIT BROOK RD 112 SPIT BROOK ROAD NASHUA NH (603) CELESTE KARSKI MT(ASCP) 7/1/2015 6/30/2016 Collecting Station SOUTHE NEW HAMPSHIRE MEDICAL CENTER 10 PROSPECT ST NASHUA NH (603) CELESTE KARSKI 8/1/2015 7/31/2016 Collecting Station SOUTHE NH MEDICAL CENTER - DW 696 D W Nashua NH (603) CELESTE KARSKI 2/1/2015 1/31/2016 Hillsborough Collecting Station SOUTHE NH MEDICAL CENTER-NW BLVD 29 NORTHWEST BOULEVARD NASHUA NH (603) CELESTE KARSKI 11/1/ /31/2016 Collecting Station ST JOSEPH HEALTHCARE HUDSON MEDICAL 208 ROBINSON ROAD BLD HUDSON NH (603) JEANNE WILSON 2/1/2015 1/31/2016 Collecting Station TAMWORTH FAMILY MEDICINE 577 WHITE MOUNTAIN HWY TAMWORTH NH (603) BARBARA QUEALY 5/1/2015 4/30/2016 CARROLL Collecting Station THE WD PROFESSIONAL DOVER CS 10 MEMBERS WAY DOVER NH (603) GINT TAORAS 5/1/2015 4/30/ OLD ROLLINSFORD Collecting Station WENTWORTH DOUGLASS HOS-PTC BELLAMY ROAD DOVER NH (603) GINT TAORES 1/1/ /31/2015 Collecting Station WENTWORTH-DOUGLASS PROFESS. LEE 65 CALEF LEE NH (603) GINT TAORAS 3/1/2015 2/29/2016 Collecting Station WHITE MOUNTAIN MEDICAL CENTER 2531 WHITE MOUNTAIN WAKEFIELD NH (603) BRENDA NILAND 3/1/2015 2/29/2016 Carroll Community Residence (4+ beds) B PASSACONAWAY RD 128 B PASSACONAWAY RD Conway NH (603) WENDY OSTER 4/1/2015 3/31/ Carroll Community Residence (4+ beds) PASSACONAWAY RD 128 PASSACONAWAY RD North Conway NH (603) WENDY OSTER 9/1/2015 8/31/ Carroll Community Residence (4+ beds) FOX MEADOW LANE 37 FOX MEADOW LANE Greenfield NH (603) JONATHAN ERIQUEZZO 3/1/2015 2/29/ Hillsborough

9 Community Residence (4+ beds) AMOSKEAG RESIDENCE 34 BROWN AVENUE MANCHESTER NH (603) JESSICA LACHANCE 9/1/2014 8/31/ Community Residence (4+ beds) ARBOR VIEW INN 163 SUMMER STREET NEWPORT NH (603) JENNY BLY 8/1/2015 7/31/ SULLIVAN Community Residence (4+ beds) BAYBERRY HOUSE 5 HOWARD ROAD (603) PAUL DANN 7/1/2015 6/30/ Community Residence (4+ beds) BECKET ADULT SERVICES-NH 2444 MAIN STREET 2444 MAIN STREET Bethlehem NH (603) JAMIE FOX 8/10/2015 7/31/ Grafton Community Residence (4+ beds) BEECH STREET COMMUNITY RESIDENCE 135 BEECH STREET NEWPORT NH (603) MARK MILLS 1/1/ /31/ SULLIVAN Community Residence (4+ beds) BRICK HOUSE 91 PLEASANT STREET (603) PAUL DANN 7/1/2015 6/30/ Community Residence (4+ beds) BROCK CHILDREN'S HOME, LLC 33 FAIRVIEW ROAD PITTSFIELD NH (603) MARGUERITE DROUIN 9/1/2014 8/31/ Community Residence (4+ beds) COLUMBIA HOUSE 18 STODDARD ROAD Columbia NH (603) CHARLES COTTON 2/1/2015 1/31/ Coos Community Residence (4+ beds) EMERALD HOUSE 32 EMERALD STREET KEENE NH (603) SHELLY BLOUIN-ANDRUS 5/1/2015 4/30/ CHESHIRE Community Residence (4+ beds) FAIRVIEW RESIDENCE 16 FAIRVIEW STREET LACONIA NH (603) HOLLY STYLES 1/1/ /31/ BELKNAP Community Residence (4+ beds) FAIRWEATHER LODGE 463 BREAKFAST HILL RD GREENLAND NH (603) GERALDINE COUTURE 1/1/ /31/ Belknap Community Residence (4+ beds) FELLOWSHIP HOUSE 11 CHESLEY STREET (603) PAGE CANNON 6/1/2015 5/31/ Community Residence (4+ beds) FOX MEADOW LANE 32 FOX MEADOW LANE GREENFIELD NH (603) JONATHAN ERIQUEZZO 8/1/2015 7/31/ Community Residence (4+ beds) FRANKLIN FALLS FARM 348 VICTORY DRIVE FRANKLIN NH (603) MICHELLE ERSKINE 12/1/ /30/ Community Residence (4+ beds) GILPIN RESIDENCE 145 HIGH STREET LITTLETON NH (603) JANE MACKAY 8/1/2015 7/31/ GRAFTON Community Residence (4+ beds) GREY HOUSE 93 PLEASANT STREET (603) PAUL DANN 7/1/2015 6/30/ Community Residence (4+ beds) HARBOR AVENUE RESIDENCE 62 HARBOR AVENUE NASHUA NH (603) KIM SHOTTES 7/1/2014 6/30/ Community Residence (4+ beds) HARBOR HOMES III INC 156 CHESTNUT ST NASHUA NH (603) PETER KELLEHER 2/1/2015 1/31/ Community Residence (4+ beds) HARBOR HOMES INC 3 WINTER STREET NASHUA NH (603) PETER KELLEHER 9/1/2014 8/31/ Community Residence (4+ beds) HOPE AVE RESIDENCE 25 HOPE AVENUE (603) DONNA CANFIELD 8/1/2015 7/31/ Community Residence (4+ beds) HUDSON HOUSE 112 MUSQUASH RD HUDSON NH (603) KIM B SHOTTES 10/1/2015 9/30/ Community Residence (4+ beds) ISAAC HOUSE 997 ISAAC FRYE WILTON NH (603) KIM SHOTTES 3/1/2015 2/29/ Community Residence (4+ beds) KACIE LANE 16 KACIE LANE DANVILLE NH (603) JONATHAN ERIQUEZZO 2/1/2015 1/31/ Belknap Community Residence (4+ beds) KEARSARGE COMMUNITY RESIDENCE 138 KEARSARGE RD NORTH CONWAY NH (603) LEONARD JEWELL 5/1/2015 4/30/ CARROLL Community Residence (4+ beds) KEARSARGE ROAD (426) 426 KEARSARGE ROAD North Conway NH (603) STACEY CUSHING 9/1/2015 8/31/ Carroll Community Residence (4+ beds) LACONIA DEVELOPMENTAL SERVICES/DRF 54 GREEN STREET LACONIA NH (603) JOHN CAPUCO 6/1/2015 5/31/ BELKNAP Community Residence (4+ beds) MAPLE LODGE 787 MAPLE ST Bethlehem NH (603) PAUL DANN 11/18/ /31/ Grafton Community Residence (4+ beds) MAURA COMMUNITY RESIDENCE 69 TAMWORTH ROAD TAMWORTH NH (603) TERESA & EDWARD MAURA 12/1/ /30/ CARROLL Community Residence (4+ beds) ORFORD ROAD RESIDENCE 16 ORFORD ROAD LYME NH (603) MARK MILLS 1/1/ /31/ GRAFTON Community Residence (4+ beds) OSGOOD ROAD DUPLEX 482 OSGOOD ROAD MILFORD NH (603) KIM SHOTTES 5/1/2015 4/30/ Community Residence (4+ beds) PEASLEE ROAD 26 PEASLEE ROAD NH (603) KIM SHOTTES 4/1/2015 3/31/2016 4

10 Community Residence (4+ beds) POND PLACE EAST 125 PLEASANT STREET (603) PAUL DANN 7/1/2015 6/30/ Community Residence (4+ beds) POND PLACE WEST 125 PLEASANT STREET (603) PAUL DANN 6/1/2015 5/31/ Community Residence (4+ beds) RIVERDALE PARKWAY 28 RIVERDALE PARKWAY LEBANON NH (603) MARK MILLS 7/1/2015 6/30/ GRAFTON Community Residence (4+ beds) SAWYER FAMILY RESIDENCE 2556 EAST CONWAY ROAD CENTER CONWAY NH (603) DONNA SAWYER 1/1/ /31/ Belknap Community Residence (4+ beds) START CENTER 46 CO HILL RD BOSCAWEN NH (603) ROY GERSTENBERGER 8/1/2015 7/31/ Merrimack Community Residence (4+ beds) SWETT ST (20) 20 SWETT ST North Conway NH (603) STACEY CUSHING 5/1/2015 4/30/ Carroll Community Residence (4+ beds) TWITCHELL HOUSE 111 PLEASANT STREET (603) PETER EVERS 7/1/2015 6/30/ Community Residence (4+ beds) VERDUN STREET COMMUNITY RESIDENCE 85 VERDUN STREET BERLIN NH (603) CHARLES P COTTON RICHARD LAFLAMME 7/1/2015 6/30/ COOS Community Residence (4+ beds) WOODRIDGE LANE 14 WOODRIDGE LANE North Hampton NH (603) MARTHA BONNEAU 3/1/2015 2/29/ Rockingham Community Residence (4+ beds) YELLOW HOUSE 89 PLEASANT STREET (603) PAUL DANN 7/1/2014 6/30/ Educational Health BAIRD HEALTH & COUNSELING CENTER 541 MAIN STREET NEW LONDON NH (603) PAMELA A SPEAR 3/1/2015 2/29/ Educational Health BREWSTER ACADEMY HEALTH CENTER 205 SOUTH MAIN STREET WOLFEBORO NH (603) CARRIE MACDONALD,BSN, 6/1/2015 5/31/2016 CARROLL Educational Health CLARK HOUSE 325 PLEASANT STREET (603) JOHN BASSI 1/1/ /31/ Educational Health DICK HALL'S HOUSE 5-7 ROPE FERRY ROAD HANOVER NH (603) MARK REED, MD 1/1/ /31/ GRAFTON Educational Health FRANKLIN PIERCE UNIVERSITY HEALTH SVCS 40 UNIVERSITY DRIVE RINDGE NH (603) LEE POTTER, 1/1/ /31/ CHESHIRE Educational Health HAMILTON FAMILY FOUNDATION 19 CRAWFORD HINMAN WAY CANAAN NH (603) KAREN EWER-GRAY, 3/1/2015 2/29/ GRAFTON Educational Health HOLDEESS SCHOOL HEALTH CENTER CHAPEL LANE HOLDEESS NH (603) NANCY THURRELL, 12/1/ /30/ GRAFTON Educational Health JOHN F BELL HEALTH CENTER 1 VEEY DRIVE GREENFIELD NH (603) MICHAEL A TERRIAN 6/1/2015 5/31/ Educational Health LAMONT HEALTH AND WELLNESS CENTER 10 TAN LANE EXETER NH (603) MARGARET K O'DAY, MSW 1/1/ /31/ Educational Health NEW ENGLAND COLLEGE 32 UNION STREET HENNIKER NH (603) DAVID HAMLIN 9/1/2014 8/31/ Educational Health NEW HAMPTON SCHOOL STUDENT HEALTH CENTER 5 ACADEMIC DR NEW HAMPTON NH (603) CYNTHIA GLIDDEN, 10/1/2014 9/30/2015 BELKNAP Educational Health NHTI HEALTH & COUNSELING SERVICES 4 INSTITUTE DRIVE (603) JANET TURGEON, 6/1/2015 5/31/2016 Educational Health PROCTOR ACADEMY HEALTH CENTER 72 NORTH STREET ANDOVER NH (603) KRISTEN BITLER, 1/1/ /31/ Educational Health QUIBIN STUDENT HEALTH SERVICES 420 MAIN STREET NASHUA NH (603) PAULA RANDAZZA 10/1/2014 9/30/2015 Educational Health SAINT ANSELM COLLEGE-HEALTH SERVICE 100 ST ANSELM DRIVE MANCHESTER NH (603) MAURA MARSHALL, AP 12/1/ /30/ Educational Health SHORTRIDGE ACADEMY HEALTH CENTER 619 GOVEORS ROAD MILTON NH (603) KATHY B PATCH, AP 5/1/2015 4/30/2016 Educational Health SNHU HEALTH SERVICES 2500 NORTH RIVER ROAD MANCHESTER NH (603) SHEILA LAMBERT 9/1/2015 8/31/2016 Educational Health TRACY HEALTH CENTER 51 MAIN STREET MERIDEN NH (603) PAMELA A TYSON, 4/1/2015 3/31/ SULLIVAN End-Stage Renal Dialysis BEDFORD DIALYSIS 15 CONSTITUTION DRIVE SUITE 1C BEDFORD NH (603) TRACY BOUCHER, 1/1/ /31/2015 End-Stage Renal Dialysis CENTRAL NEW HAMPSHIRE KIDNEY CENTER 87 SPRING STREET LLC LACONIA NH (603) NEMAT EBEID-ISHAK 3/1/2015 2/29/2016 BELKNAP End-Stage Renal Dialysis COCHECO RIVER DIALYSIS CENTER 343 SIXTH STREET DOVER NH (603) AJOULYN CHAFFEE, 1/1/ /31/2016 End-Stage Renal Dialysis DERRY DIALYSIS 1 ACTION BLVD., SUITE 2 LONDONDERRY NH (603) DEBRA M BREAULT, 2/1/2015 1/31/2016 End-Stage Renal Dialysis FMC DIALYSIS SERVICES EXETER 1 HAMPTON ROAD, SUITE 109 EXETER NH (603) MELANIE CLAPP, 6/1/2015 5/31/2016 End-Stage Renal Dialysis FMC COUNTY 27 STERLING DRIVE ROCHESTER NH (603) DORRAINE BAHA'I, 9/1/2015 8/31/2016 End-Stage Renal Dialysis FRESENIUS MEDICAL CARE OF LANCASTER 173 MIDDLE STREET LANCASTER NH (603) CORY TUER, 8/1/2015 7/31/2016 COOS End-Stage Renal Dialysis FRESENIUS MEDICAL CARE OF LONDONDERRY 1F COMMONS DRIVE LONDONDERRY NH (603) RACHEL J. MACCORMACK, 5/1/2015 4/30/2016

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